History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence

(1) Background: Cerebral autoregulation is altered during acute mild traumatic brain injury, or concussion. However, it is unknown how a history of concussion can impact cerebral haemodynamic activity during a task that elicits an autoregulatory response. (2) Methods: We assessed cerebral haemodynam...

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Main Authors: J. Patrick Neary, Jyotpal Singh, Luke W. Sirant, Catherine A. Gaul, Steve Martin, Lynneth Stuart-Hill, Darren G. Candow, Cameron S. Mang, Gregory P. Kratzig
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/11/1443
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author J. Patrick Neary
Jyotpal Singh
Luke W. Sirant
Catherine A. Gaul
Steve Martin
Lynneth Stuart-Hill
Darren G. Candow
Cameron S. Mang
Gregory P. Kratzig
author_facet J. Patrick Neary
Jyotpal Singh
Luke W. Sirant
Catherine A. Gaul
Steve Martin
Lynneth Stuart-Hill
Darren G. Candow
Cameron S. Mang
Gregory P. Kratzig
author_sort J. Patrick Neary
collection DOAJ
description (1) Background: Cerebral autoregulation is altered during acute mild traumatic brain injury, or concussion. However, it is unknown how a history of concussion can impact cerebral haemodynamic activity during a task that elicits an autoregulatory response. (2) Methods: We assessed cerebral haemodynamic activity in those with a history of three or more concussions. The study included 44 retired athletes with concussion history and 25 control participants. We recorded participants’ relative changes in right and left pre-frontal cortex oxygenation collected by near-infrared spectroscopy and continuous beat-to-beat blood pressure measured by finger photoplethysmography. Participants completed a 5-min seated rest followed by a 5-min repeated squat (10-s) stand (10-s) maneuver (0.05 Hz) to elicit a cerebral autoregulatory response. Wavelet transformation was applied to the collected signals, allowing separation into cardiac interval I (0.6 to 2 Hz), respiratory interval II (0.145 to 0.6 Hz), and smooth muscle cell interval III (0.052 to 0.145 Hz). (3) Results: Significant increases at cardiac interval I were found for the wavelet amplitude of oxy-haemoglobin and haemoglobin difference at the right pre-frontal cortex. No significant difference was found at the left pre-frontal cortex or the blood pressure wavelet amplitudes. (4) Conclusions: Contributions from cardiac activity to the pre-frontal cortex oxygenation are elevated when eliciting dynamic cerebral autoregulation in those with a history of three or more concussions.
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spelling doaj.art-2ea11ca38ec14e20bde5ec37bb0ceb812023-11-24T03:56:02ZengMDPI AGBrain Sciences2076-34252022-10-011211144310.3390/brainsci12111443History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac InfluenceJ. Patrick Neary0Jyotpal Singh1Luke W. Sirant2Catherine A. Gaul3Steve Martin4Lynneth Stuart-Hill5Darren G. Candow6Cameron S. Mang7Gregory P. Kratzig8Faculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, CanadaFaculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, CanadaFaculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, CanadaSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, CanadaSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, CanadaSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, CanadaFaculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, CanadaFaculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, CanadaDepartment of Psychology, University of Regina, Regina, SK S4S 0A2, Canada(1) Background: Cerebral autoregulation is altered during acute mild traumatic brain injury, or concussion. However, it is unknown how a history of concussion can impact cerebral haemodynamic activity during a task that elicits an autoregulatory response. (2) Methods: We assessed cerebral haemodynamic activity in those with a history of three or more concussions. The study included 44 retired athletes with concussion history and 25 control participants. We recorded participants’ relative changes in right and left pre-frontal cortex oxygenation collected by near-infrared spectroscopy and continuous beat-to-beat blood pressure measured by finger photoplethysmography. Participants completed a 5-min seated rest followed by a 5-min repeated squat (10-s) stand (10-s) maneuver (0.05 Hz) to elicit a cerebral autoregulatory response. Wavelet transformation was applied to the collected signals, allowing separation into cardiac interval I (0.6 to 2 Hz), respiratory interval II (0.145 to 0.6 Hz), and smooth muscle cell interval III (0.052 to 0.145 Hz). (3) Results: Significant increases at cardiac interval I were found for the wavelet amplitude of oxy-haemoglobin and haemoglobin difference at the right pre-frontal cortex. No significant difference was found at the left pre-frontal cortex or the blood pressure wavelet amplitudes. (4) Conclusions: Contributions from cardiac activity to the pre-frontal cortex oxygenation are elevated when eliciting dynamic cerebral autoregulation in those with a history of three or more concussions.https://www.mdpi.com/2076-3425/12/11/1443concussioncerebral autoregulationpre-frontal cortex oxygenationblood pressurewavelet transformation
spellingShingle J. Patrick Neary
Jyotpal Singh
Luke W. Sirant
Catherine A. Gaul
Steve Martin
Lynneth Stuart-Hill
Darren G. Candow
Cameron S. Mang
Gregory P. Kratzig
History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
Brain Sciences
concussion
cerebral autoregulation
pre-frontal cortex oxygenation
blood pressure
wavelet transformation
title History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
title_full History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
title_fullStr History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
title_full_unstemmed History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
title_short History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence
title_sort history of brain injury alters cerebral haemodynamic oscillations with cardiac influence
topic concussion
cerebral autoregulation
pre-frontal cortex oxygenation
blood pressure
wavelet transformation
url https://www.mdpi.com/2076-3425/12/11/1443
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